Woof Houze Consult Form

Lets Get Aquainted
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
How Did You Hear About Us?*
Do you work from home?*

YesNoSometimes
How Many Children Do You Have and ages? Do they respect your dogs space or need training as well?*
Have You Ever Owned A Dog before your current one?*
Have You Ever Trained A Dog?*
What type of training are you interested in?*
What type of diet does your dog eat?*

Dry KibbleHomemadeRaw (Prey, Barf, or Premade)Wet Canned Food
Briefly State What You Hope to accomplish?*
What is your monthly budget for training? Most training packages are for 3-4 months in duration. Behavior modification can last up to 6 months or more.*

$299-$399$499-699$799-$999I’m will invest for the right training methods.Money isn’t an issue, safety is and I just need to help my dog NOW!
Do you understand that a phone call must be conducted if we feel we can help, followed by an in person evaluation. The cost for that is $149 for obedience and $199-$299 for behavior.*

Yes, that’s fine.No
Are you in position to pay in full for training if accepted or would you need a payment plan?*

Yes. I’m ready to move forward if accepted into the program.Can I pay 50% now and 50% in 30-60 days?Can I make a 50% payment to hold my canines place on the waitlist with 3 additional payments then get started?Can we discuss additional payment options?
What type of training are you interested in?*

Private TrainingDay Training (drop off)Bite rehabilitationBehavior ModificationI will let the Canine Coach suggest what best.
Do you understand that ecollars, prong collars, martingale collars, and haltis are prohibited in our training and in our building?*

YesNo
If you feel we are a good fit, when would you like to begin training?*

Now please I’m desperateSafety is a concern please help NOW!In a few weeksWe need puppy training before the critical socialization window closes at 16 weeks. Now please.
Do you understand that our waitlist can be between 3-6 weeks to begin training after approved and registered?*

Yes, I’ll wait.No. that doesn’t work for meCan I pay expedited fee, need help now!
Canine Information
Dog's Name*
Breed*
Age*
How Old Was The Dog When You Acquired Him/Her?*
Gender*

MaleFemale
How Long Have You Owned The Dog?*
Do you have any additional pets? If so name, breed, ages? Do any of your other pets have behavioral concerns in addition to the applicant?*
Has Your Dog Been:*

SpayedNeuteredNone of the Above
Where Did You Acquire Your Dog?*
Where Does Your Dog Sleep At Night?
Is Your Dog House Trained? If not where does he use the bathroom?
Behavior Problems Of Parents Or Littermates, if Known?
Veterinary Information
Veterinarian
Vet Clinic
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is Your Dog Current On All Vaccinations Including Rabies?*

YesNo
Vaccination Dates:
Rabies:*
DHLP:*
Please List All Medications Your Dog Is Currently Taking. Please Include Heartworm, Flea and Tick Medications, etc*
Please List Any Medical Problems Your Dog Has Had:*
Behavior Information
Level Of Success?
What Obedience Cues Currently Work Best?
Which Member Of The Family Can Communicate The Best With Your Canine?
Does Your Dog Know How To Walk On A Leash?*

YesNo
How Does Your Dog Respond To The Following Tasks?
Trimming Nails?*
Giving Pills?*
Cleaning Ears?*
Grooming?*
Bathing?*
Patting Head?*
Grasp Collar?*
Being Lifted?*
Rolling Over*
Tell Me About Any Correction Techniques You Have Used And Their Effect On Your Dog’s Behavior:
Time Out*
Leash Correction*
Verbal Scolding*
Noisemaker*
Water Spray*
Choke Collar or Shock Collar*
Physical correction? Collar grabbing, scruff grabbing hitting head or nose? *
If you have tried the about physical corrections please explain in detail. If Other Description, explain:*
Behavior Problems:*

Jumping UpChewingDiggingBarkingHowlingWhiningUrinatingStool EatingTail BitingTail ChasingStaring/FixationFood or toy AggressionBarking and lunging on leashAttacking people or dogsPulling on leashDog fighting in the homeRedirected aggression
Describe Unwanted Behavior In Greater Detail:*
Describe Any Previous Obediance Training:
Describe How Your Dog Reacts To The Following Times When Left Alone:
During The Day:
During The Evening:
What Is Your Dog's Reaction To Your Departure?*
What Is Your Dog's Reaction To Your Homecoming?*
Do You Use A Crate?*

YesNo
Does Your Dog Like The Crate?*

YesNo
How many hours per day is your dog in the crate? *
What does a day in the life of your dog look like, from when he/she awakes until bedtime? Please be specific and indicate times for everything?
Do you walk or play with your dog? Explain in detail. How many walks, how far? What type of stimulation is your dog getting? *
Do you think your dog is bored? If so explain? *
Is your dog destructive? Explain in full detail or put N/A.*
Does Your Dog Exhibit Any Of The Following Behaviors, and When Does It Occurs (With Men Or In The Car)
Cowering
Ears Back
Tail Tucked
Retreating
Hiding
Excessive Salivating
Pacing
Please Give Additional Information Regarding Fear Or Anxiety In Your Dog:
Describe Situations Where Your Dog Appears Fearful And/Or Aggressive:
Do You Ever Muzzle Your Dog For Safety?*

YesNo
Is Anyone In Your Family Afraid Of Your Dog? If So, Please Describe:*
How Does Your Dog Respond To The Following Situations?
When Approached While Eating:*
When Approached With Treat Or Toy:*
When Dog Is Scolded:*
When Dog Is Pushed Off Furniture Or Bed:*
When Dog Is Approached While Sleeping:*
To Strangers Outside Of The House:*
To People Entering House/Yard:*
To Children Or Infants:*
While In Car To People Outside Of The Car:*
To Other Dogs In Your Home:*
To Other Dogs Outside Your Home:*
Ever Aggressive To Family Members?*

YesNo
Has Your Dog Ever Bitten A Person?*

YesNo
Please explain in detail the bite history! Email photos if available to train@woofhouze.com*
Has Your Dog Ever Been Reported To Animal Control For Biting?*

YesNo
Do you prefer group or private training?*

Group is finePrivate onlyI would like to work towards group training
Are you open to virtual training?*

YesNo
What is your monthly budget for monthly virtual or group training?*

$299-$399$399-$499$499-$599I'm open minded for the right training
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